- HCA Healthcare (Austin, TX)
- …goals. You will also verify complete, accurate, and consistent coding and DRG code validation resulting in appropriate reimbursement, data integrity, and minimal ... RAC, payer, etc.) for inpatient and/or outpatient coding (eg, DRG /code validation, query validation) + Provides timely feedback and...as it relates to coding opportunities found during the review of accounts + Ensures rebill requests are entered… more
- UnityPoint Health (Madison, WI)
- …join our team! In this role, you'll be responsible for performing concurrent review of medical records to ensure complete and accurate clinical documentation to ... to ensure the accuracy of diagnosis and procedural coding, Diagnosis Related Group ( DRG ) assignment, severity of illness (SOI), and expected risk of mortality (ROM).… more
- Trinity Health (Livonia, MI)
- …in-services and other user group forums. Provides direction for daily review assignments and operations. Responsible for developing and maintaining systems training ... the patient's severity of illness, risk of mortality, clinical validity and proper DRG assignment. ESSENTIAL FUNCTIONS Maintains current knowledge of the MS- DRG … more
- R1 RCM (Detroit, MI)
- …and an internally facing Mentor role. **Every day in this role you will:** + Review inpatient medical records for validation of DRG assignment + Provide detailed ... Auditor II, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of reviewing accounts in… more
- Covenant Health Inc. (Knoxville, TN)
- …records, the accuracy of documentation, and the appropriate assignment of a final DRG . The CDI Specialist functions as a resource for clinical staff and other ... discharge planning of patients. In order to assure appropriate DRG assignment and the validity and reliability of the...of the case-mix index, CDI is accountable for concurrent review of health records, reviewing documentation that supports the… more
- Intermountain Health (Phoenix, AZ)
- …all payer and regulatory denials and downgrades and provides in-depth coding review , audit findings, and appeal strategies. + Develops and implements training plans ... risk of mortality, and quality of care + Performs audits including DRG (Diagnosis Related Groups), ICD-10 CM/PCS (Procedure Classification System), CPT, and PSI… more
- Select Medical (Mechanicsburg, PA)
- …studies, as well as data quality reviews or other documentation audits. + Perform peer review of codes and DRG assignment. + Keep knowledge of coding and ... CCS or CPC-H credentials. + Experience in ICD-10-CM diagnoses, procedure coding and DRG validation. + One or more years of experience with inpatient hospital medical… more
- Veterans Affairs, Veterans Health Administration (Sheridan, WY)
- …full spectrum of services provided by the VAMC. Performs a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, ... or impacting treatment to correctly determine the proper Diagnosis Related Group ( DRG ). Conducts re-reviews of codes abstracted for patient encounters (inpatient and… more
- The Davey Tree Expert Company (Arkansas City, AR)
- …of Davey Resource Group, a Davey Company, which has been employee-owned since 1979. DRG specializes in managing the assets of utility companies throughout the US by ... cultural assessments based on job site visits and other interactions with DRG , and UAM employees and use those assessments/insights when coaching local leadership… more
- Hartford HealthCare (Farmington, CT)
- …Revenue Cycle Medical Director to provide provider, CDI and coding education for DRG downgrade denials prevention and management. . Validates CDI reviews related to ... their review process, documentation clarifications/queries and resulting Diagnosis Related Groups...outcomes reporting for Hartford HealthCare (HHC). . Accountable for DRG downgrade denials prevention and internal denial appeal processes.… more